TONY THARIAN ISSAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123482

License Status

NOT RENEWED

Business

First Name

TONY

Middle

THARIAN

Last Name

ISSAC

Suffix

Business Name

TONY THARIAN ISSAC MD

Original Issue Date

05/19/2009

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014